There you have it! As with any skin condition, it's best to consult your regular dermatologist to see which option is best for you. And while technology has come a long way in making dark marks and acne scars treatable, remember that most of us will experience them at some point. So while these are all feasible options for fading your acne scars, don't forget that you always have the choice of pimple positivity, too.
"Hyperpigmentation is an increase of melanin, which is the substance that colors the skin," says Dr. Sobel. Hyperpigmentation often clears up on its own. However if you want to speed up the process, you can use topical treatments with ingredients like retinol, vitamin C, and kojic acid, which can help brighten skin overall. We like Sunday Riley Sleeping Night Oil ($105, sephora.com) and InstaNatural Vitamin C Serum ($17, amazon.com). The most important thing is to stay out of the sun to keep the dark spots from getting even deeper in color.
Other concerns include inflammatory bowel disease and the risk of depression and suicide in patients taking isotretinoin. Recent evidence seems to indicate that these problems are exceedingly rare. Government oversight has resulted in a highly publicized and very burdensome national registration system for those taking the drug. This has reinforced concerns in many patients and their families have that isotretinoin is dangerous. In fact, large-scale studies so far have shown no convincing evidence of increased risk for those taking isotretinoin compared with the general population. It is important for those taking this drug to report changes in mood or bowel habits (or any other symptoms) to their doctors. Even patients who are being treated for depression are not barred from taking isotretinoin, whose striking success often improves the mood and outlook of patients with severe disease.
Glycolic Acid is an alpha-hydroxy acid and an exfoliating ingredient that targets both acne and wrinkles at the same time. "The same way it helps acne, it helps wrinkles—by removing dead cells on surface. If you have effective exfoliation, you're stimulating collagen and hyaluronic acid," Dr. Schultz explains. This will help improve skin's texture and reduce fine lines and wrinkles while also clearing up breakouts.
This potent serum uses a blend of restorative, antioxidant ingredients to promote skin healing, which is what acne scars need. Ascorbic acid (vitamin C) is a time-released acid that simultaneously stimulates collagen synthesis and promotes wound healing. Retinol works similarly in this formulation, while zinc sulfate is as an anti-inflammatory, and aurbtin helps manage hyperpigmentation.
Many people believe that acne is a hygiene problem. This is a complete myth. Acne is caused by toxins and excess hormones. When your hormones become imbalance, your oil glands produce excessive quantities of sebum. This forms plugs and traps with bacteria, resulting in inflammation and acne breakout. The basic foundation in how to clear acne effectively is to control your hormones and toxins. This will prevent future acne breakout.

Dermal fillers: "Certain scars can be filled with a substance that elevates the depressed areas, like hyaluronic acid. This can make the surface of the skin more even and get rid of shadows," says Dr. Bowe. Until recently, fillers weren't a lasting solution. But now, if you're over 21 years old, Bellafill is the first FDA-approved dermal filler designed for permanently correcting moderate to severely dented acne scars. Unlike other fillers, it contains two different ingredients to help improve acne scarring. "It's 20% polymethylmethacrylate (PMMA), which helps your body make more protein to allow itself to heal," says Dr. Shah. "PMMA are tiny balls that sort of act as a scaffolding. Most fillers degrade over time, but since PMMA cannot be absorbed into the body, this offers a permanent result," she says. The other 80% is collagen. The procedure takes about 20-30 minutes, and while you may need a touchup a couple months later, some people just need the single treatment, says Dr. Shah.

Pimples are raised red spots with a white center that develop when blocked hair follicles become inflamed or infected with bacteria. Blockages and inflammation that develop deep inside hair follicles produce cystlike lumps beneath the surface of your skin. Other pores in your skin, which are the openings of the sweat glands, aren't usually involved in acne.


When you think about it, consistently reaching for your go-to face towel every day is like reusing a dinner napkin over and over again. Using dirty towels can harbor bacteria, and they can even introduce new bacteria to your skin, which may lead to more pimples. Thankfully, this doesn't mean you need to reach for a new towel every single time you wash your face, according to Dr. Melissa Kanchanapoomi Levin, board-certified NYC dermatologist and clinical instructor at NYU Langone and Mount Sinai Hospital. As long as you're truly washing off all of your makeup, you can stick to switching out your towels on a weekly basis.

Punch excisions: "This procedure is best for those with icepick scars, which aren't as wide as rolling or boxcar scars," says Dr. Shah. "If you use a punch excision on a scar that's wide at the surface, you're making a bigger punch and trading in one scar for another," she says. "Your dermatologist will numb up the area and use a tiny cookie-cutter like device to cut out the scar, and then sew it closed with a tiny stitch. The stitch is removed in less than a week," says Dr. Bowe. However, Dr. Idriss cautions against this method for those with darker skin or undertones who are prone to hyperpigmentation.

Most people find themselves suffering from an acne outbreak at some point usually during their adolescence when they go through puberty. Whether it's due to hormones or stress. Contrary to popular belief, pimples don't necessarily mean your skin is dirty or unclean — in fact, over-cleansing can irritate your skin even more. However, hormones aren't uncontrollable, and there are simple changes you can make to eliminate your breakouts. You can have your glowing, healthy, and pimple-free skin back in no time.
Originally Exposed Acne Treatment was only available to private dermatologist facilities for severe acne sufferers. It wasn’t until 2012, Exposed Acne Treatment was finally made available to the general public due to its effectiveness and positive testimonies. Many users reported a diminished in acne, skin irritation, skin oiliness, and acne brown spots in less than one month.
A new, big trend in acne treatments over the past year has been stick-on dots. Some brands, like Nexcare Acne Absorbing Covers, aren't medicated; instead, the clear, absorbent, sterile patches (which feel more like gel than a Band-Aid) dry out the zit like a sponge. Bonus: They'll keep you from picking at it! Despite the fact that they contain no actual medicine, the Nexcare covers have a perfect five-star rating on drugstore.com and a cult following. Meanwhile, many brands do medicate their acne dots, like Peter Thomas Roth's new Acne-Clear Invisible Dots. These invisible stick-on patches contain salicylic acid, tea tree oil, and hyaluronic acid to disinfect and clear clogged pores.
Since the UV rays and visible light from the sun can further darken acne marks, all the dermatologists agree it’s essential to wear sunscreen daily. “Sun protection can make a big difference in whether or not these marks remain permanent,” says Nagler, so much so that she’ll often recommend patients wait and see what their scars look like after a year of careful sun protection before opting for an expensive or invasive procedure. This CeraVe oil-free sunscreen is ideal for acne-prone skin, and also contains niacinamide, which is known to help brighten skin and fight inflammation.
Yes, it’s another pricey SkinCeuticals serum, but dermatologists absolutely love their products for treating acne marks. You’ll get more bang for your buck with the inclusion of glycolic and lactic acids, two alpha-hydroxy acids that Avram says help fade marks by exfoliating the top surface of the skin. Nagler says “vitamin C is helpful as an adjunct in preventing free radical damage, which helps with pigmentation.” It’s also worth investing in a high-quality serum since, according to Nagler, vitamin C isn’t stable — and is therefore less effective — in some other products.

There are a number of mild chemical peels available over the counter, but acne scar removal requires a stronger peel typically administered by a doctor or dermatologist. Trichloroacetic acid (TCA) peels are slightly stronger than alpha hydroxy acid (AHA) peels and may be used for acne scar treatment. The strongest type, phenol peels, may cause significant swelling and require up to two weeks of recovery time at home. Neither are recommended for people with active severe acne.
Inflammation is the single greatest gauge of scar development. The greater the inflammation on the skin, the more likely scarring is to occur. Deep breakouts that take a long time to heal also increase the chance of scarring. Blackheads, whiteheads, and other non-inflamed blemishes typically don't cause scarring because these types of lesions don't injure skin tissue.

Glycolic Acid is an alpha-hydroxy acid and an exfoliating ingredient that targets both acne and wrinkles at the same time. "The same way it helps acne, it helps wrinkles—by removing dead cells on surface. If you have effective exfoliation, you're stimulating collagen and hyaluronic acid," Dr. Schultz explains. This will help improve skin's texture and reduce fine lines and wrinkles while also clearing up breakouts.
Rosacea may affect the eyes. Not everyone with rosacea has eye problems. A complication of advanced rosacea, known as ocular rosacea, affects the eyes. About half of all people with rosacea report feeling burning, dryness, and irritation of the tissue lining of the eyes (conjunctivitis). These individuals may also experience redness of the eyelids and light sensitivity. Often the eye symptoms may go completely unnoticed and not be a major concern for the individual. Many times, the physician or ophthalmologist may be the first one to notice the eye symptoms. Untreated, ocular rosacea may cause a serious complication that can damage the cornea permanently damaging vision, called rosacea keratitis. An ophthalmologist can assist in a proper eye evaluation and prescribe rosacea eyedrops. Oral antibiotics may be useful to treat skin and eye rosacea.
Dilute white vinegar facial soaks or cleansing daily or weekly using approximately 1 part regular table vinegar to 6 parts water may be helpful. Vinegar helps as a natural disinfectant and can help decrease the number of yeasts and bacteria on the skin. Since vinegar may flare rosacea in some people, try a small test area before applying to the entire face.

Laser treatment may cause some discomfort. While most patients are able to endure the procedure, ice packs and topical anesthetic cream can help alleviate the discomfort. Multiple treatments are typically necessary, and most insurances do not cover the procedure. Doctors recommend treatments in three- to six-week intervals; during this time, sun avoidance is necessary. Review risk, benefits, and alternatives with a physician prior to treatment. Combine laser treatments with photodynamic therapy (light-activated chemical using Levulan) for more noticeable results.
Keloid bumps are generally discolored and raised. These scars form when the body tries to recover from the inflammation caused by cystic acne. According to Dr. Sobel, you can get a keloid if too many fibroblasts or dermal cells are produced during the healing process. The first step in treatment is to flatten the bump with a shot of cortisone. Then, you can follow up with other treatments like laser or retinol to even out the skin tone.
With its natural inflammation-fighting properties, a 5 percent solution of tea tree oil is less harsh than a 5 percent benzoyl peroxide solution and can be just as effective against acne, though it may clear up a little less quickly. Mix a few drops of tea tree oil with between 20 and 40 drops of witch hazel, then use a cotton swab to apply. Try this remedy up to twice a day; more could dry your skin and make the acne worse.
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"I have terrible cystic acne but I don't want to take prescription medication!" she whines. Puh-leeze! You are given treatment, have access to products other than cleansers, but won't use them. This is a ridiculous article. I cleared my skin with soap, water, alcohol, and a complete dietary adjustment. Zero sugar, starch, breads, oils, fried and processed foods. I eat broccoli, greens (lots of greens), steamed and poached veggies, broiled or canned salmon, tofu, quinoa, brown rice, half a lemon a day over food or in unsweetened green tea, and blueberries. Someone else mentioned the sugar/insulin/hormonal imbalance link. You have to take responsibility for your lifestyle, as well as your treatment.

Isotretinoin: Accutane was the original brand name; there are now several generic versions in common use, including Sotret, Claravis, and Amnesteem. Isotretinoin is an excellent treatment for severe, scarring, persistent acne and has been used on millions of patients since it was introduced in Europe in 1971 and in the U.S. in 1982. It should be used for people with severe acne, chiefly of the cystic variety, that has been unresponsive to conventional therapies like those listed above. If taken in sufficient dosage, it should eliminate the need to continue the use of prescription drugs in most patients. The drug has many potential serious side effects and requires a number of unique controls before it is prescribed. This means that isotretinoin is not a good choice for people whose acne is not that severe but who are frustrated and want "something that will knock acne out once and for all." In order to use the drug, the prescribing physician, the patient, and the supplying pharmacy must be enrolled in the online "iPLEDGE PROGRAM." Used properly, isotretinoin is safe and produces few side effects beyond dry lips and occasional muscle aches. This drug is prescribed for five to six months at a dosage that has a high likelihood of preventing the return of acne. Fasting blood tests are monitored monthly to check liver function and the level of triglycerides, substances related to cholesterol, which often rise a bit during treatment but rarely to the point at which treatment has to be modified or stopped.

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